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Senior Clinical Authorization Specialist at Dana-Farber Cancer Institute - ApplyBlast

Senior Clinical Authorization Specialist

Dana-Farber Cancer Institute

1 month ago

3.9 on Glassdoor

Brookline, Massachusetts, United States

Onsite

Full Time

Senior

0 applicants

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About this role

The Senior Clinical Authorization Specialist supports the Prior Authorization Supervisor in managing daily team operations and staff education while handling complex prior authorization submissions and insurance appeals. This role involves collaborating with physicians and insurers to resolve coverage issues for high-cost drugs and clinical services, ensuring timely and accurate processing of authorizations. The position requires strong analytical skills and the ability to function independently in a fast-paced healthcare environment.

Responsibilities

Manage approval process for clinically complex prior authorization cases
Submit prior authorizations and obtain insurance approvals for high-cost drugs
Root cause claim denials and complete assigned work in a timely manner

Skills

Qualifications

Bachelor's degreeBSNRegistered Nurse license

About Dana-Farber Cancer Institute

dana-farber.org

Headquarters

Boston, Massachusetts, United States

Company Size

1001-5000 employees

Founded

1947

View Profile

Dana‑Farber Cancer Institute, based in Boston, MA, is a world‑leading cancer center specializing in adult and pediatric cancer treatment and research. Its physician‑scientists deliver multidisciplinary patient care and develop many of the most advanced therapies, including targeted treatments and clinical trials. Dana‑Farber combines cutting‑edge laboratory research with translational programs, prevention and survivorship services, and education to improve outcomes. Patients and clinicians turn to Dana‑Farber for its expertise, comprehensive care teams, and strong research pipeline.